Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,640.00 / $17,701.00	Facility		$1,820.00	$6,640.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.14 / $388.31 / $1,273.00	Professional		$356.14	$388.31	$1,273.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,362.00 / $16,106.00	Facility		$2,456.00	$7,362.00	$16,106.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $430.44 / $582.12 / $1,158.35	Professional		$430.44	$582.12	$1,158.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,655.16	Facility		$66.00	$100.00	$8,655.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $315.58 / $455.02 / $1,009.07	Professional		$315.58	$455.02	$1,009.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $10,309.93 / $18,465.56	Facility		$2,277.00	$10,309.93	$18,465.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.30 / $541.53 / $1,112.67	Professional		$411.30	$541.53	$1,112.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $351.45 / $452.90 / $664.82	Professional		$351.45	$452.90	$664.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $372.32 / $514.87 / $910.12	Professional		$372.32	$514.87	$910.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,439.16 / $26,542.00 / $29,777.20	Facility		$1,439.16	$26,542.00	$29,777.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,959.35 / $3,959.35 / $3,959.35	Professional		$3,959.35	$3,959.35	$3,959.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $421.95 / $543.98 / $817.32	Facility		$421.95	$543.98	$817.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $413.69 / $559.22 / $1,057.11	Professional		$413.69	$559.22	$1,057.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,289.42 / $1,289.42 / $1,289.42	Professional		$1,289.42	$1,289.42	$1,289.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $365.96 / $503.20 / $664.81	Professional		$365.96	$503.20	$664.81
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,722.00 / $29,312.00	Facility		$7,696.00	$13,722.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $304.29 / $428.04 / $875.38	Professional		$304.29	$428.04	$875.38